The goal of this study was to explore the potential of providing cognitive behavioral therapy (CBT
) after an index course of electroconvulsive therapy (ECT
) for depression
to improve long-term outcome.
The Beck Depression
Inventory (BDI) and Clinical Global Impression (CGI) scale were used to assess depression
and treatment outcome for 6 patients who received 12 weeks of CBT
after an index course and concurrent with a continuation course of ECT
Patients either maintained their response or showed decreased depressive symptoms at the 6-month post-index ECT
evaluation. At the 9-month follow-up, 5 of 6 patients had BDI scores below their post-index ECT
scores. The CGIs were rated "much improved" or "very much improved" by 5 patients at the termination of CBT
. All 6 patients maintained or improved their CGIs at the 6-month follow-up.
These results provide preliminary evidence that CBT
is feasible and may extend the antidepressant effects ofECT.